WILMINGTON DENTAL GROUP, PC (NPI# 1033587001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033587001 |
| Entity Type | Organization |
| Organization Name | WILMINGTON DENTAL GROUP, PC |
| Practice Address |
206 Ballardvale St Wilmington MA 01887-1044 |
| Practice Telephone | 9787522320 |
| Practice Fax Number | 9784471600 |
| Mailing Telephone | 9787522320 |
| Mailing Fax Number | 9784471600 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | CLAUDIA MORENO (BUSINESS MANAGER) |
| Authorized Official Telephone | 6172565972 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | WILMINGTON DENTAL GROUP, PC | 8 Tower Farm Rd., Billerica, MA 01821 |
| Street Address |
206 BALLARDVALE ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023586062 | Nedg Wilmington | Dentist | 206 Ballardvale St, Wilmington, MA 01887-1044 | 2018-11-07 |
| 1922505841 | Min Hye Kim | Dentist | 206 Ballardvale St, Wilmington, MA 01887-1044 | 2018-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1083136568 | Dr. Douglas S. Fry Dds Pllc | Dentist | 1911 S 17th St Ste 140, Wilmington, NC 28401-6662 | 2017-07-17 |
| 1174045066 | Emma Yunyi Yang | Dentist | 6 Larch Ave Ste 402, Wilmington, DE 19804 | 2017-07-12 |
| 1982136305 | Ryan Graham | Dentist | 1601 Milltown Rd Ste 25, Wilmington, DE 19808-4084 | 2017-04-03 |
| 1770037400 | Woodmill Dental LLC | Dentist | 5185 W Woodmill Dr, Suite #2, Wilmington, DE 19808-4067 | 2016-08-10 |
| 1255720215 | Farjam Shadaiee Yashmerani, Dds Inc. | Dentist | 445 E Anaheim St Ste M, Wilmington, CA 90744-4600 | 2015-01-14 |
| 1134565963 | Ahmad Eltejaye | Dentist | 501 W 14th St # 2w22, Wilmington, DE 19801-1013 | 2013-05-20 |
| 1831465293 | Tera D Harrison | Dentist | 5225 Sigmon Rd, Wilmington, NC 28403-1682 | 2012-03-29 |
| 1447536743 | Dana Ann Evans-semmel | Dentist | 1310 Airlie Rd, Wilmington, NC 28403-3727 | 2011-10-31 |
| 1881980969 | Meredith Taylor Edgerton Glenn | Dentist | 1426 Commonwealth Dr, Wilmington, NC 28403-0302 | 2011-06-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on WILMINGTON DENTAL GROUP, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.